OC13.05: Cervical pessary for prevention of preterm birth in Twin–twin transfusion syndrome

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Cervical Pessary for Prevention of Preterm Birth: A Meta-Analysis

To investigate the efficacy of cervical pessary placement in preventing preterm birth and perinatal morbidity and mortality in asymptomatic women with a singleton pregnancy and a short cervix, we searched literature in relevant databases. The meta-analysis of the 3 included trials (1412 women) showed cervical pessary placement did not reduce the risk of spontaneous preterm birth <34 weeks in th...

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Cervical pessary use and preterm birth.

Preterm birth remains a considerable public health concern and priority. Little headway has been made in the prevention of preterm birth despite considerable research in this area. New ideas and treatments are desperately needed. The pessary has emerged as a possible treatment for the prevention of preterm birth in both singleton and twin gestations. It appears to be low cost with minimal side ...

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Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report

BACKGROUND Preterm delivery is a major health problem and contributes to more than 50% of all neonatal and infant deaths. Recently, there has been a renewed interest in the use of cervical pessaries as a safe and effective intervention with few maternal side-effects for the prevention of preterm birth in both single and twin pregnancies. CASE PRESENTATION A 43-year-old gravida 5, para 1 (prev...

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Arabin cervical pessary for prevention of preterm birth in cases of twin-to-twin transfusion syndrome treated by fetoscopic LASER coagulation: the PECEP LASER randomised controlled trial

BACKGROUND Fetoscopic LASER coagulation of the placental anastomoses has changed the prognosis of twin-twin transfusion syndrome. However, the prematurity rate in this cohort remains very high. To date, strategies proposed to decrease the prematurity rate have shown inconclusive, if not unfavourable results. METHODS This is a randomised controlled trial to investigate whether a prophylactic c...

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Rupture of the cervix during pregnancy after cervical pessary insertion for preventing preterm birth.

We present a rare case of a complication after pessary insertion during pregnancy due to short cervix. A woman in the 35th week of gestation was admitted to the Department of Perinatology due to preterm labor. The patient's history revealed cervical pessary insertion during the 29th week of pregnancy due to a cervix of 18 mm in length. Because of threatened preterm labor, the pessary was remove...

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ژورنال

عنوان ژورنال: Ultrasound in Obstetrics & Gynecology

سال: 2019

ISSN: 0960-7692,1469-0705

DOI: 10.1002/uog.20507